272.Section 81 requires the Commission to publish a document that sets out the reviews and studies that it intends to carry out under sections 48, 54 and 57. Before preparing the document, the Commission must consult the Secretary of State and any other person specified by order of the Secretary of State. Once prepared, the Commission must send them a copy of the document. Subsection (4) makes clear that the requirement to publish such a programme does not prevent the Secretary of State from requiring the Commission to carry out a particular review or investigation, or the Commission from carrying out a special investigation under section 48 where it considers there to be a risk to the health, safety or welfare of people receiving health or social care.